TotalCare (D-SNP) Daim Ntawv Pom Zoo Qhia Txog Kev Kho Mob

Daim ntawv pov thawj
Raws li qhov yuav tsum tau muaj ntawm Lub Chaw rau Medicare & Medicaid Services (CMS) nyob rau hauv 42 CFR §§ 422.152(g), 422.107, thiab Tshooj 5, Tshooj 40 ntawm Medicare Managed Care Manual, nrog rau California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) D-SNP Txoj Cai Tswjfwm Ntiag Tug, tag nrho cov chaw muab kev pabcuam D-SNP) Dual Eligible Special Needs Plan (D-SNP) network yuav tsum tau ua kom tiav kev cob qhia txhua xyoo ntawm Txoj Kev Npaj Pom Zoo Tus Qauv Saib Xyuas (MOC).

Los ntawm kev xa tawm hauv qab no, kuv ua pov thawj rau kuv tus kheej thiab / lossis lub koom haum tau txheeb xyuas saum toj no:

1. Kuv (thiab/los yog tag nrho cov neeg ua hauj lwm/cov neeg muab kev cog lus thiab cov neeg ua hauj lwm uas cuam tshuam nrog TotalCare (HMO D-SNP) cov tswv cuab) tau ua tiav cov qauv ntawm Kev Kho Mob uas yuav tsum tau muab los ntawm TotalCare (HMO D-SNP) rau xyoo tam sim no.
2. Kuv nkag siab tias kev ua tiav ntawm qhov kev cob qhia no yog ib qho kev koom tes hauv TotalCare (HMO D-SNP) network.
3. Cov ntaub ntawv ua tiav yog khaws cia thiab muaj rau kev tshuaj xyuas los ntawm TotalCare (HMO D-SNP) thaum thov.
4. Kuv lees paub tias qhov tsis ua raws li qhov yuav tsum tau ua yuav cuam tshuam rau kuv / peb txoj kev koom tes txuas ntxiv hauv TotalCare (HMO D-SNP) network.